Conditions characterized by pain Flashcards
Recommend a treatment option for a patient presenting with dysmenorrhea.
Hysterectomy
Oral azithromycin
Oral contraceptives
Ultram and NSAIDs
Oral contraceptives
A 45-year-old African-American woman presents to the clinic with complaints of abnormal vaginal bleeding. The nurse practitioner is completing a work-up for uterine leiomyomas. Determine the accurate statement about uterine leiomyomas.
A CT scan can be used to visualize the tumor.
Hysterectomy is the primary treatment for symptomatic patients.
The size of the tumor varies.
Hysterectomy is recommended in symptomatic patients.
The size of the tumor varies.
A nurse practitioner is educating a patient on gynecologic tumors that are most common in the United States and more prevalent in African-American women. Establish how these tumors are categorized.
Myomata
Ovarian cyst
Vulvar vaginal tumor
Adenomyosis
Myomata
A nurse practitioner is educating a group of adolescents on ovarian cysts. Propose an accurate statement about ovarian cysts.
The corpus luteum cyst typically ruptures spontaneously.
B-hCG is needed to rule out pregnancy.
Hysterectomy is needed to remove ovarian cysts.
Magnetic resonance imaging (MRI) is needed to confirm diagnosis of ovarian cysts.
B-hCG is needed to rule out pregnancy.
A 25-year-old woman is diagnosed with benign ovarian cyst. Establish an accurate statement regarding symptoms and risk factors.
Gynecological exam is not necessary to diagnose ovarian cyst.
Many cases of ovarian cyst produce no symptoms.
Surgery is recommended to remove all ovarian cyst.
Patients with ovarian cyst have a higher risk of developing cancer.
Many cases of ovarian cyst produce no symptoms.
A nurse practitioner is educating a group of students on endometriosis. Establish an identifiable risk factor for endometriosis.
Greater than three pregnancies
Aging process
Early menopause
Menarche prior to age 14
Aging process
Predict the subjective finding that accurately reflects the patient presenting with dysmenorrhea.
Biopsy results negative for pathology
Suprapubic tenderness on palpation
Lab levels that reflect anemia
Symptoms that started soon after menstruation
Symptoms that started soon after menstruation
Determine the accurate statement for diagnosing and treating patients with dyspareunia.
A majority of women are asymptomatic, delaying diagnosis.
Dyspareunia affects both men and women.
Dyspareunia is uncommon in women.
Dyspareunia affects men and women equally.
Dyspareunia affects both men and women.
In securing the health history of a 40-year-old woman, propose a clinical manifestation described by the patient that the nurse would suspect is related to premenstrual syndrome.
Chest pain that radiates to the right arm
Nausea, vomiting, and diarrhea
Heavy feeling or dragging in the vagina
Depression and feeling out of control
Depression and feeling out of control
A nurse practitioner is educating a group of adolescents on ovarian cysts. Propose an accurate statement about ovarian cysts.
Benign ovarian cysts are typically functional.
Hysterectomy is needed to remove ovarian cysts.
Women presenting with follicular cysts typically experience pain and amenorrhea.
The corpus luteum cyst typically ruptures spontaneously.
Benign ovarian cysts are typically functional.
A 19-year-old patient presents to the clinic with concerns about premenstrual syndrome (PMS) and treatment options. Recommend a treatment option for patients presenting with PMS.
Ferrous sulfate
Biologics
Selective serotonin reuptake inhibitors
IVIG
Selective serotonin reuptake inhibitors
A 34-year-old woman presents to the clinic with complaints of dyspareunia. Recommend an appropriate diagnostic tool on initial assessment.
Serum CA-125
MRI
Laparoscopy
STI testing for gonorrhea and chlamydia
STI testing for gonorrhea and chlamydia
Recommend a treatment option for a patient presenting with dysmenorrhea.
Ultram and NSAIDs
Hysterectomy
Oral azithromycin
Oral contraceptives
Oral contraceptives
Adenomyosis occurs when the tissue that normally lines the uterus (endometrial tissue) grows into the muscular wall of the uterus. Determine the accurate statement about adenomyosis.
Adenomyosis is commonly found during adolescence.
Adenomyosis is endometriosis of the vaginal tract.
Adenomyosis is cured with hormonal treatment.
A pelvic ultrasound can help detect signs of adenomyosis.
A pelvic ultrasound can help detect signs of adenomyosis.
A 19-year-old patient presents to the clinic with complaints of menorrhagia and dysmenorrhea. Determine the statement that accurately reflects primary dysmenorrhea.
It typically occurs soon after menarche.
Endometriosis is the most common cause.
It is typically treated with surgical methods.
It typically starts after the onset of an underlying condition.
It typically occurs soon after menarche.
A nurse practitioner is educating a patient on premenstrual syndrome (PMS). The patient has questions on the diagnostic criteria. Propose an accurate statement.
An ultrasound is the gold standard for diagnosis.
A complete lab work-up must be done prior to diagnosis.
The patient must experience at least two identified symptoms for five previous menstrual cycles.
It is based on symptoms experienced in three previous menstrual cycles.
It is based on symptoms experienced in three previous menstrual cycles.
Predict the subjective finding that accurately reflects the patient presenting with dysmenorrhea.
Suprapubic tenderness on palpation
Scheduling of ultrasound
Biopsy results negative for pathology
Heavy cramping with menstruation
Heavy cramping with menstruation
A 27-year-old sexually active Caucasian woman visits the health department family planning clinic and requests information about the various available methods of contraception. In taking her history, the nurse learns that she started having sex at age 15 and has had multiple sex partners since then. She smokes two packs of cigarettes daily. She indicated a 6-month history of painful menses and abdominal bloating 5 days prior to her menstrual cycle. Based on her history, predict what her risk factors are for.
Uterine prolapse
Premenstrual syndrome
Early menopause
Vulvar cancer
Premenstrual syndrome
A 25-year-old woman is diagnosed with benign ovarian cyst. Establish an accurate statement regarding symptoms and risk factors.
Patients with ovarian cyst have a higher risk of developing cancer.
Ovarian cyst often disappears without treatment.
Urinary retention is common in patients with ovarian cyst.
Surgery is recommended to remove all ovarian cyst.
Ovarian cyst often disappears without treatment.
A nurse practitioner is educating a patient on gynecologic tumors that are most common in the United States and more prevalent in African-American women. Establish how these tumors are categorized.
Adenomyosis
Vulvar vaginal tumor
Cervical polyps
Fibroids
Fibroids
A 34-year-old woman presents to the clinic with complaints of dyspareunia. Recommend an appropriate diagnostic tool on initial assessment.
Laparoscopy
Serum CA-125
Determining the timing and severity of the symptoms
Thorough pelvic examination
Thorough pelvic examination
Jennifer, an 18-year-old woman, presents to the women’s health clinic complaining of dyspareunia, dysmenorrhea, and menorrhagia. She says that she has been having these problems for several months. Based on her symptoms, determine the statement that is accurate.
A pregnancy test is advised.
The patient should be referred to the emergency room for immediate evaluation.
This history indicates that the patient is experiencing a sexually transmitted infection.
Diet and exercise are the recommended treatment.
A pregnancy test is advised.
Predict the subjective finding that accurately reflects the patient presenting with dysmenorrhea.
Suprapubic tenderness on palpation
Biopsy results negative for pathology
Symptoms that started soon after menstruation
Lab levels that reflect anemia
Symptoms that started soon after menstruation
